License holder summary

Staci R Eisenberg is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Staci R Eisenberg is Boston Medical Center, 88 East Newton Street, Vose 301 02118. This licensed professional license is current. The license was granted 05/19/2004 and expired on 07/30/2017.

Massachusetts

Division of Professional Licensure

Staci R Eisenberg
Board Of Registration In Medicine
License number
220587
Date granted
05/19/2004
Date expires
07/30/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Boston Medical Center, 88 East Newton Street, Vose 301
licensingma.org
ID 41424840
LAST UPDATED 2024-05-12 15:09:01 UTC

This website is unaffiliated with the Division of Professional Licensure. Please verify all information directly with the relevant official government authority.

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